Individual
KRISTINE MARIE HATCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
211 N EDDY ST, SOUTH BEND, IN 46617-2808
(574) 237-9203
(574) 237-9331
Mailing address
211 N EDDY ST, SOUTH BEND, IN 46617-2808
(574) 237-9203
(574) 237-9331
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
02003338
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
146470E9
MEDICARE
IN
05
—
200900800
—
IN
Enumeration date
02/15/2008
Last updated
08/03/2016
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